Grasseschi Reconstructive & Plastic Surgery

LBN: Grasseschi Reconstructive & Plastic Surgery
Grasseschi Reconstructive & Plastic Surgery is an health care organization with primary practice located at 2500 Ridge Ave Suite 208, Evanston IL 60201-2455. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Grasseschi Reconstructive & Plastic Surgery can be contacted via phone (847) 328-2277, or through Grasseschi, Mitchell Frank via phone (847) 328-2277.

Contact Information

Primary practice address
2500 Ridge Ave Suite 208 Evanston IL 60201-2455
Fax: (847) 328-8591
Website:
Authorized official contact:
Name: Grasseschi, Mitchell Frank Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1427097856
LBN Legal business name Grasseschi Reconstructive & Plastic Surgery
DBA Doing business as
Authorized official Grasseschi, Mitchell Frank Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427097856 NPPES
Illinois MEDICAID 0360478951
Illinois Other 21608613

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